by Proactive LTC Consulting | May 20, 2026 | Compliance, Documentation, Emergency Preparedness, Nursing Home Consultant, QA, QAPI, Quality, Safety, Staffing, Survey
Emergency Preparedness Plan Drills & Tabletop Exercises Emergency preparedness can no longer be treated as a “binder on the shelf” requirement. Surveyors increasingly expect Skilled Nursing Facilities to demonstrate that emergency preparedness programs are active,...
by Proactive LTC Consulting | May 20, 2026 | CAA, Care Planning, Clinical, Compliance, Documentation, MDS, Nursing Home Consultant, Person Centered Care
Q: Does a triggered CAA always require a care plan intervention? A: No. A triggered CAA does not automatically mean the resident must have a new or revised care plan intervention. The purpose of the CAA process is to help the interdisciplinary team analyze the...
by Proactive LTC Consulting | May 13, 2026 | Coding, Compliance, Documentation, MDS, Medicaid, Medicare, Nutrition, PDPM, Reimbursement
Q: Can IV fluids be coded in K0520A (Parenteral/IV Feeding) on the MDS? A: Yes — but only when the IV fluids are administered specifically to address a nutrition or hydration need and there is supporting documentation in the medical record. CMS clarifies that...
by Proactive LTC Consulting | Apr 29, 2026 | Documentation, Home Health
One of the top denial reasons for home health claims is “services were not medically necessary”. Many home health agencies face challenges related to documenting medical necessity for both nursing and therapy services. Clinicians must “paint the picture” each visit to...
by Proactive LTC Consulting | Apr 29, 2026 | 5-Star, Behavioral Health, Care Planning, Documentation, Nursing Home Consultant, Psychotropics, QAPI, Quality, Quality Measure
In long-term care, behaviors are often one of the earliest signs that something has changed with a resident. Agitation, wandering, refusal of care, exit-seeking, verbal outbursts, sleep disruption, repetitive questioning, or sudden withdrawal are rarely “just...
by Proactive LTC Consulting | Apr 22, 2026 | 5-Star, Antipsychotics/Psychotropics, Coding, Documentation, Falls, MDS, Nursing Home Consultant, QAPI, Quality, Quality Measure, Weight Loss
The Engine Behind Outcomes: Quality Measure Systems Many facilities focus on Quality Measure scores after they decline. High-performing facilities build systems that prevent decline before it happens. Improving Quality Measures (QMs) in skilled nursing...
